Atch E - Timesheet for Contract Service.xlsx

XLSX spreadsheet 12 KB Posted

Attached to
Nursing Services at Whiteriver Service Unit Federal contract opportunity
Solicitation number
RFP-23-PHX-14
Issued by
Department of Health and Human Services Indian Health Service

About this file

This document contains a timesheet template for contract services and information about a related federal contract opportunity for nursing services. The timesheet template requires contractors to track the date, time in/out, hours worked, and description of services provided on a weekly basis. Contractors must certify the timesheet information is accurate and complies with contract terms before a department receiving official and contracting officer representative verify and approve the timesheet.

The related federal contract opportunity is solicitation number RFP-23-PHX-14 for nursing services at the Whiteriver Service Unit, issued by the Department of Health and Human Services Indian Health Service. The solicitation seeks nursing services but provides no further details on required services, response date, award date, pricing terms, or set-asides.

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Other files for this federal contract opportunity

Other files attached to Nursing Services at Whiteriver Service Unit, newest first.
File Type Posted
SF 1449 75H71223R00051 Nursing Services at WRSU.pdf PDF
Atch D- Statement of Work RN Services REV.pdf PDF
Atch C - 2023 Tax Exemption.pdf PDF
Atch A - Rate Schedule IHS1471914.xls XLS spreadsheet
Atch B - Business Associate Agreement.pdf PDF
Continuation SF 1449 IHS1471914 REV.pdf PDF
Atch F - Wage Determination 2015-5477 dtd 27 Dec 2022.pdf PDF
Atch G - IHS IEE Representation Form.pdf PDF

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Text version

Sheet1

WHITERIVER SERVICE UNIT
STANDARD TIMESHEET FOR CONTRACT SERVICES
Contract Number:_____________________________
PRINTED CONTRACTOR'S NAME:____________________________________DEPT/SERVICE__________________________________________

"I hereby certify that the hours worked during the weeks noted below are correct and are in accordance to the terms of the contract"

SIGNATURE OF CONTRACTOR: _________________________________________________ DATE SIGNED: ____________________________

WEEK OF _________________________________________
WeekdayDateTime InLunchTime OutTotal HoursDescription of Hours
Week of _________________________________
WeekdayDateTime InLunchTime OutTotal HoursDescription of Hours

"I hereby certify that the contract services provided in this timesheet are correct and are in accordance to the terms of the contract"

VERIFIED BY Department Receiving Official (Printed Name/Signature):_______________________________________________________________________

Contracting Officer Representative (Printed Name/Signature):________________________________________________________________________________

Sheet2

Sheet3

File details come from the government source that posted it. Updated .